Employment Application

An Equal Opportunity Employer

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, or non-job related injury.

It is the policy of BAILEY ENTERPRISES, INC. to require prospective employees to pay for the pre-employment drug test. The fee of $50.00 will be paid directly to BAILEY ENTERPRISES, INC. before the prospective employee is taken to the drug testing facility for the urine test.

After thirty (30) days of continuous employment at BAILEY ENTERPRISES, INC. you will be reimbursed $50.00 for the cost of the test.

If you are applying for a CDL position you must fill out a Commercial Driver Employment Application.

If you have any questions regarding this policy, please contact Human Resources (307) 857-6750.

(To be considered, you must answer all questions completely)

Applicant Information

YesNo
YesNo

Position

YesNo

Education

Work restrictions

YesNo
* Conviction of a crime will not automatically ban you from employment consideration
YesNo

Working Saturdays, Sundays, & holidays may be a requirement for some shifts, and employee may be required to work some overtime. With that in mind, please answer the following questions:

YesNo
YesNo
YesNo
YesNo
YesNo

Other Qualifications

PC ComputerCalculatorFAXMS ExcelMS Word

Production/mobile machinery (list)
Other (list)

Personal References (other than relatives)

Reference 1

Reference 2

Reference 3

In Case Of Emergency, Contact

Previous Employers For The Last Five (5) Years Beginning With Your Last Employer

Employer 1

Employer 2

Certification

(Read each statement and check if you agree)

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered beyond this time period should inquire as to whether or not applications are being accepted at that time.

At Will Employment

(Read each statement and check if you agree)

Authorization to Obtain Consumer Reports

The Fair Credit Reporting Act (FCRA) provides individuals with certain rights regarding consumer reports, and places certain obligations on employers who use consumer reports for employment related purposes. Consistent with the requirements of the FCRA, this notice is provided to you in order to inform you that BAILEY ENTERPRISES, INC. may, for employment-related purposes (e.g., evaluating you for initial employment, promotions, transfers, assigned duties, retention as an employee, etc.), obtain from a consumer reporting agency one or more consumer reports containing financial information, criminal record information, driving record information, and/or other relevant information about you.

Bailey Enterprises, Inc. adheres to the Drug-Free Workplace Act of 1988

All BAILEY ENTERPRISES, INC. employees are subject to alcohol and/or drug testing which includes pre-employment, post accident, post injury, random, reasonable suspicion, return to duty, & follow-up testing.

It is the policy of BAILEY ENTERPRISES, INC. to require prospective employees to pay for the pre-employment drug test. The fee of $50.00 will be paid directly to BAILEY ENTERPRISES, INC. before the prospective employee is taken to the drug testing facility for the urine test.

After thirty (30) days of continuous employment at BAILEY ENTERPRISES, INC. you will be reimbursed $50.00 for the cost of the test.

  By checking this box you certify you have read and understood the above notice and, by submitting this form, specifically authorize BAILEY ENTERPRISES, INC. to obtain one or more consumer reports on you for employment-related purposes, as indicated above, and authorizes BAILEY ENTERPRISES, INC. to investigate information submitted in this employment application.

If you have any questions regarding this policy, please contact Human Resources at (307) 857-6750.

(Notice: you cannot submit this form until you agree to all items in the Certification, At Will Employment and Drug-Free Workplace sections.)